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Specialty Protocols

GAMMA AMINOBUTYRIC ACID

Last updated 4/30/2026

GAMMA AMINOBUTYRIC ACID

MEDICATION DETAILS

Drug: Gamma-Aminobutyric Acid (GABA)

Form: Injectable solution

Concentration: 25 mg/mL

Vial: 10 mL multidose vial

Total content: 250 mg

Gamma-Aminobutyric Acid (GABA) WELLNESS DOSE

IM Dose - 0.5-1ML - 12.5-25mg

Injection technique

  • Site: Gluteal or deltoid
  • Rate: Slow IM over 30–60 seconds
  • Frequency - once a week

IV Dose - 0.5-1ml = 12.5-25mg

Total - Do NOT administer more than the wellness dose indicated.

Administration Requirements

  • Dilution: 100–250 mL 0.9% Sodium Chloride
  • Method: IV infusion ONLY
  • Rate: Infuse over 30–60 minutes minimum
  • Monitoring: Continuous BP, HR, symptom observation

IV Use is PROHIBITED if:

  • Dose exceeds 25 mg
  • IV push or bolus is attempted
  • Patient is on sedatives, opioids, alcohol
  • Monitoring or resuscitation capacity is unavailable

EXPECTED EFFECTS

  • Onset: 10–30 minutes
  • Peak: 30–90 minutes
  • Duration: 2–6 hours

Common effects

  • Calm, relaxed state
  • Reduced anxiety or mental hyperarousal
  • Mild sedation (dose-dependent)

CONTRAINDICATIONS & CAUTIONS

Absolute Contraindications

  • Known hypersensitivity to GABA
  • Pregnancy or breastfeeding
  • Acute intoxication (alcohol, sedatives, opioids)

Relative Contraindications / Use With Caution

  • Concurrent benzodiazepines, opioids, hypnotics
  • Hypotension or autonomic instability
  • Severe respiratory disease
  • History of paradoxical reactions to calming agents

ADVERSE EFFECTS & MANAGEMENT

Common (usually mild)

  • Drowsiness
  • Injection site discomfort
  • Light-headedness

INDICATIONS FOR WELLNESS USE

Injectable GABA may be used as adjunctive support for:

  • Acute stress or anxiety states
  • Sympathetic nervous system over-activation
  • Sleep initiation difficulty
  • Nervous system dysregulation
  • Menopausal autonomic symptoms
  • Burnout / fatigue with heightened arousal

OBSERVATION & AFTERCARE

  • Observe patient 15–30 minutes post-administration
  • Advise:
  • No driving or operating machinery for several hours if sedated
  • Avoid alcohol or sedatives same day